Cambridge Family Health Center | |
3900 Cambridge St Suite 102 Las Vegas NV 89119-7439 | |
(702) 307-5415 | |
(702) 307-5416 |
Full Name | Cambridge Family Health Center |
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Speciality | Clinic/Center |
Location | 3900 Cambridge St, Las Vegas, Nevada |
Authorized Official Name and Position | Walter B Davis (CEO) |
Authorized Official Contact | 7758886610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cambridge Family Health Center 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Cambridge Family Health Center 3900 Cambridge St Suite 102 Las Vegas NV 89119-7439 Ph: (702) 307-5415 |
NPI Number | 1073688198 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7113835307 |
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Medicare Enrollment ID | O20021207000002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073688198 | NPI | - | NPPES |
1073688198 | Medicaid | NV | |
DQ468A | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
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